摘要
目的开展品管圈活动以提高共享呼吸机过滤器正确使用率,改善过滤器应用效果。方法将2022年1-3月我院医学装备应急管理中心巡检呼吸机239台次作为对照组,2022年4-6月实施品管圈活动后巡检呼吸机210台次作为观察组。利用品管圈管理工具如柏拉图、鱼骨图等,分析、探讨引起呼吸机过滤器使用错误的原因和改进措施,通过品管圈管理步骤的实施,比较品管圈活动开展前后各指标的变化,分析品管圈活动开展后共享呼吸机过滤器的应用效果。结果通过开展品管圈活动,观察组的过滤器正确使用率(97.6%)显著高于对照组(92.1%),差异有统计学意义(P=0.009);医工人员和临床人员理论与操作成绩均得到显著提高(P<0.005);呼吸机故障台次显著下降(P=0.035);呼吸机过滤器应用效果得到改善,同一患者、相同呼吸机参数指标情况下,气道峰压、平台压明显下降,患者心率、平均动脉压、呼吸频率均较改善前明显好转,脉搏氧饱和度有显著升高(P<0.001);患者舒适度有显著提高(P=0.025)。结论通过品管圈管理工具的应用,可显著提高共享呼吸机过滤器正确使用率,改善过滤器应用效果,对其精细化管理起到了积极作用。
Objective To improve the correct usage rate of shared ventilator filters and enhance the application effect of filters by conducting quality control circle(QCC)activities.Methods A total of 239 ventilators inspected by the medical equipment emergency management center of our hospital from January to March 2022 were set as the control group,while the 210 ventilators inspected after the implementation of QCC activities from April to June 2022 were set as the observation group.Utilizing QCC management tools such as Pareto charts and fishbone diagram,analyze and explore the causes of incorrect usage of ventilator filters and improvement measures.Through the implementation of QCC management steps,the changes in various indicators before and after the implementation of QCC activities were compared,and the application effectiveness of shared ventilator filters after the conduct of QCC activities was analyzed.Results Through the implementation of QCC activities,the correct usage rate of filters in the observation group(97.6%)was significantly higher than that in the control group(92.1%),and the difference was statistically significant(P=0.009);the theoretical and operational scores of medical personnel and clinical staff were significantly improved(P<0.05);the number of ventilator failures decreased significantly(P=0.035);the application effect of ventilator filter was improved,under the condition of same patient and identical ventilator parameters settings,the peak airway pressure and platform pressure significantly decreased.The heart rate,mean arterial pressure,and respiratory rate all showed significant reductions compared to before the improvement.Additionally,there was a noticeable increase in pulse oxygen saturation(P<0.001);the patient’s comfort level was significantly improved(P=0.025).Conclusion The application of QCC management tools can significantly improve the correct utilization rate of shared ventilator filters and enhance their application effectiveness.It has played a positive role in the fine management of ventilator filters.
作者
陈芝
张秋军
CHEN Zhi;ZHANG Qiujun(Department of Medical Equipment,Hebei General Hospital,Shijiazhuang Hebei 050000,China;Department of Medical Development,Hebei General Hospital,Shijiazhuang Hebei 050000,China)
出处
《中国医疗设备》
2024年第5期87-91,147,共6页
China Medical Devices
基金
河北省医学科学研究重点课题计划(20180116)。
关键词
共享呼吸机
过滤器
品管圈
正确使用
应用效果
shared ventilator
filter
quality control circle
proper usage
application effect
